Prevalence of Childhood Affective disorders in Turkey: An epidemiological study

Gul Karacetin*, Ayse Rodopman Arman, Nese Perdahli Fis, Esra Demirci, Sevgi Ozmen, Selma Tural Hesapcioglu, Didem Oztop, Ali Evren Tufan, Umit Tural, Evrim Aktepe, Hatice Aksu, Ulku Akyol Ardic, Senem Basgul, Oznur Bilac, Murat Coskun, Gonca Gul Celik, Sevcan Karakoc Demirkaya, Onur Burak Dursun, Ibrahim Durukan, Tulin FidanSalih Gencoglan, Cem Gokcen, Emel Sari Gokten, Isık Gorker, Vahdet Gormez, Ozlem Yildiz Gundogdu, Cihat Kagan Gurkan, Sabri Herguner, Hasan Kandemir, Birim Gunay Kilic, Ayse Kilincaslan, Tuba Mutluer, Serhat Nasiroglu, Ozlem Ozel Ozcan, Mucahit Ozturk, Sermin Yalin Sapmaz, Serkan Suren, Nilfer Sahin, Aysegul Yolga Tahiroglu, Fevziye Toros, Fatih Unal, Pinar Vural, Ipek Percinel Yazici, Kemal Utku Yazici, Veli Yildirim, Yasemin Yulaf, Murat Yuce, Tugba Yuksel, Devrim Akdemir, Hatice Altun, Basak Ayik, Ayhan Bilgic, Ozlem Hekim Bozkurt, Emine Demirbas Cakir, Veysi Ceri, Nagehan Ucok Demir, Gulser Dinc, Mustafa Yasin Irmak, Dursun Karaman, Mehmet Fatih Kinik, Betul Mazlum, Nursu Cakin Memik, Dilsad Foto Ozdemir, Hayati Sinir, Bedia Ince Tasdelen, Beril Taskin, Cagatay Ugur, Pınar Uran, Taciser Uysal, Ozden Sukran Uneri, Savas Yilmaz, Sultan Seval Yilmaz, Burak Acikel, Huseyin Aktas, Rumeysa Alaca, Betul Gul Alic, Mahmoud Almbaidheen, Fatma Pinar Ari, Cihan Aslan, Ender Atabay, Merve Gunay Ay, Hilal Aydemir, Gülseda Ayranci, Zehra Babadagi, Hasan Bayar, Pelin Con Bayhan, Ozlem Bayram, Nese Dikmeer Bektas, Kivanc Kudret Berberoglu, Recep Bostan, Yasemin Cakan, Merve Arici Canli, Mehmet Akif Cansiz, Cansin Ceylan, Nese Coskun, Seyma Coskun, Ibrahim Demir, Nuran Demir, Esen Yildirim Demirdogen, Busra Dogan, Yunus Emre Donmez, Funda Donder, Aysegul Efe, Safak Eray, Seda Erbilgin, Semih Erden, Elif Gokce Ersoy, Tugba Eseroglu, Sumeyra Kina Firat, Ezgi Eynalli Gok, Seyda Celik Goksoy, Gulen Guler, Zafer Gules, Gulay Gunay, Serkan Gunes, Adem Gunes, Gokcen Guven, Havvana Horozcu, Ayse Irmak, Umit Isik, Ozlem Kahraman, Bilge Merve Kalayci, Umut Karaaslan, Mehmet Karadag, Hilal Tugba Kilic, Fethiye Kilicaslan, Duygu Kinay, Esra Bulanik Koc, Omer Kocael, Rahime Kadir Mutlu, Zejnep San, Kevser Nalbant, Nilufer Okumus, Fatih Ozbek, Fatma Akkus Ozdemir, Hanife Ozdemir, Borte Gurbuz Ozgur, Selcuk Ozkan, Esra Yildirim Ozyurt, Berna Polat, Hatice Polat, Ebru Sekmen, Mehmet Sertcelik, Feyza Hatice Sevgen, Oguz Sevince, Ulker Shamkhalova, Funda Suleyman, Nurcan Eren Simsek, Yasar Tanir, Mehmet Tekden, Seyhan Temtek, Melike Topal, Zehra Topal, Tugba Turk, Halit Necmi Ucar, Filiz Ucar, Duygu Uygun, Necati Uzun, Zeynep Vatansever, Neslihan Gokce Yazgili, Dilsad Miniksar Yildiz, Nazike Yildiz, Eyup Sabri Ercan

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

23 Citations (Scopus)

Abstract

Aim: To determine the prevalence of affective disorders in Turkey among a representative sample of Turkish population. Methods: This study was conducted as a part of the “The Epidemiology of Childhood Psychopathology in Turkey” (EPICPAT-T) Study, which was designed by the Turkish Association of Child and Adolescent Mental Health. The inclusion criterion was being a student between the second and fourth grades in the schools assigned as study centers. The assessment tools used were the K-SADS-PL, and a sociodemographic form that was designed by the authors. Impairment was assessed via a 3 point-Likert type scale independently rated by a parent and a teacher. Results: A total of 5842 participants were included in the analyses. The prevalence of affective disorders was 2.5 % without considering impairment and 1.6 % when impairment was taken into account. In our sample, the diagnosis of bipolar disorder was lacking, thus depressive disorders constituted all the cases. Among depressive disorders with impairment, major depressive disorder (MDD) (prevalence of 1.06%) was the most common, followed by dysthymia (prevalence of 0.2%), adjustment disorder with depressive features (prevalence of 0.17%), and depressive disorder-NOS (prevalence of 0.14%). There were no statistically significant gender differences for depression. Maternal psychopathology and paternal physical illness were predictors of affective disorders with pervasive impairment. Conclusion: MDD was the most common depressive disorder among Turkish children in this nationwide epidemiological study. This highlights the severe nature of depression and the importance of early interventions. Populations with maternal psychopathology and paternal physical illness may be the most appropriate targets for interventions to prevent and treat depression in children and adolescents.

Original languageEnglish
Pages (from-to)513-521
Number of pages9
JournalJournal of Affective Disorders
Volume238
DOIs
Publication statusPublished - 30 May 2018
Externally publishedYes

Keywords

  • Affective disorders
  • Depressive disorder
  • Epidemiology
  • Prevalence
  • Turkey

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